News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Storm of criticism of staff may not be helpful

MEDIA RELEASE

from the Royal New Zealand College of General Practitioners


5 December 2007


Storm of criticism of staff may not be helpful

The attack of the “name, shame, blame” culture enveloping Wellington Hospital is likely to be counter-productive, believes the leading promoter of quality practice in primary care, the Royal New Zealand College of General Practitioners.

Instead, the College of GPs believes the formula to obtaining and sustaining a quality clinical environment is:

- Having standards agreed by those who use them, rather than having them imposed

- Having a comprehensive organisational commitment to continuously seek quality improvements

- Accepting that sometimes things go wrong, and having mechanisms in place to learn from these events – particularly tragic ones.

“Experience shows that blaming one person, for what is a ‘system’ failure will only drive problems underground, with errors hidden,” says College president Dr Jonathan Fox, whose own Meadowbank (Auckland) practice holds Cornerstone accreditation.

Medical care, he points out, is never 100 per cent sure of success. People are different, and their bodies may react differently to treatments. Some procedures carry more risk.

The College of GPs has just been successful in obtaining Government funding for every general practice to go through its Cornerstone accreditation programme.

Cornerstone requires general practices to have a ‘Significant Events Management” log recording not only major events that went well, but incidents, accidents, complaints and ‘sentinel events’ – those that have a significant effect on the patient, resulting in permanent disability and death. The log becomes the catalyst for analysis and for learning.

The College’s 2002 publication Significant Events Management notes that “errors can be expected, even from good people in the best organisations. SEM takes a ‘no-blame’, systems approach to examining error. The analysis focuses on how and why the defences failed rather than who failed.”

“Change in the defences then reduces the likelihood of accidents occurring,” Dr Fox said. And people learn from the mistakes.

The whole Cornerstone programme is based around standards for general practice developed by GPs, practice nurses and practice managers.

As part of the College’s mission to improve the health of all New Zealanders, one of this country’s leading researchers in primary care, Associate Professor Susan Dovey is currently working to produce a proactive comprehensive strategy on patient safety in primary care.

“Health care has become so complex that all systems must work well, particularly communication,” Professor Dovey said.


ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Electronica: Restoring The World’s First Recorded Computer Music

University of Canterbury Distinguished Professor Jack Copeland and UC alumni and composer Jason Long have restored the earliest known recording of computer-generated music, created more than 65 years ago using programming techniques devised by Alan Turing. More>>

ALSO:

Scoop Review Of Books: Almost Getting Away With Murder

The Black Widow by Lee-Anne Cartier: Lee-Anne Cartier is the sister of the Christchurch man found to have been murdered by his wife, Helen Milner, after an initial assumption by police that his death, in 2009, was suicide. More>>

Howard Davis: Triple Echo - The Malevich/Reinhardt/Hotere Nexus

Howard Davis: The current juxtaposition of works by Ralph Hotere and Ad Reinhardt at Te Papa perfectly exemplifies Jean Michel Massing's preoccupation with the transmigration of imagery in a remarkable triple echo effect... More>>

Scoop Review Of Books: Nō Tāu Manawa

Vaughan Rapatahana responds to Fale Aitu | Spirit House by Tusiata Avi: "fa’afetai Tusiata, fa’afetai, / you’ve swerved & served us a masterclass corpus / through graft / of tears & fears..." More>>

9 Golds - 21 Medals: NZ Team Celebrates As Rio 2016 Paralympic Games Close

The entire New Zealand Paralympic Team, led by kiwi sprinter and double gold medallist Liam Malone as flag bearer, are on the bus to the Maracanã Stadium in Rio de Janeiro for the Closing Ceremony of the Rio 2016 Paralympic Games. There, they will celebrate the fantastic successes of the past 10 days. More>>

ALSO:

New Zealand Improv Festival: The Festival Of Moments To Return To The Capital

The eighth incarnation of the New Zealand Improv Festival comes to BATS Theatre this 4-8 October , with a stellar line-up of spontaneous theatre and instant comedy performed and directed by top improvisors from around New Zealand and the world. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news